Active NPI
Benjamin Weatherford
- Physical Therapist
- San Antonio, TX
National Provider Identifier
1437525771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1264740
- Practice address
- 525 Oak Centre Dr
Suite 450
San Antonio, TX 78258-3944 - Phone
- (210) 297-4525
- Fax
- (210) 297-1230
- NPI assigned
- Aug 20, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1264740 | TX | Primary |
Addresses
Primary practice location
525 Oak Centre Dr
Suite 450
San Antonio, TX 78258-3944
Mailing address
525 Oak Centre Dr
Suite 450
San Antonio, TX 78258-3944
Phone (210) 297-4525
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1264740 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| VHS San Antonio Partners LLC | Past | Accepting new patients | |
| VHS San Antonio Partners, LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1598744856
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1831970532
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440028800000",
"number": "1437525771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "525 OAK CENTRE DR",
"address_2": "SUITE 450",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782583944",
"telephone_number": "210-297-4525",
"fax_number": "210-297-1230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "525 OAK CENTRE DR",
"address_2": "SUITE 450",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782583944",
"telephone_number": "210-297-4525",
"fax_number": "210-297-1230"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEATHERFORD",
"first_name": "BENJAMIN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-08-20",
"last_updated": "2015-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1264740",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.